Simultaneous Employment of the FRAIL Scale and the Tilburg Frailty Indicator May Identify Elderly People Who Require Different Interventional Strategies
Magdalena Sacha,1 Jerzy Sacha,2,3 Katarzyna Wieczorowska-Tobis1 1Department of Palliative Medicine, Poznan University of Medical Sciences, Poznan, Poland; 2Faculty of Physical Education and Physiotherapy, Opole University of Technology, Opole, Poland; 3Department of Cardiology, University Hospital i...
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oai:doaj.org-article:aaae27663d6547338665b76aa7fd46ac2021-12-02T08:05:16ZSimultaneous Employment of the FRAIL Scale and the Tilburg Frailty Indicator May Identify Elderly People Who Require Different Interventional Strategies1178-1998https://doaj.org/article/aaae27663d6547338665b76aa7fd46ac2020-05-01T00:00:00Zhttps://www.dovepress.com/simultaneous-employment-of-the-frail-scale-and-the-tilburg-frailty-ind-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Magdalena Sacha,1 Jerzy Sacha,2,3 Katarzyna Wieczorowska-Tobis1 1Department of Palliative Medicine, Poznan University of Medical Sciences, Poznan, Poland; 2Faculty of Physical Education and Physiotherapy, Opole University of Technology, Opole, Poland; 3Department of Cardiology, University Hospital in Opole, Opole, PolandCorrespondence: Jerzy Sacha Email sacha@op.plPurpose: Frailty is a geriatric syndrome that is usually considered as a set of physical deficits (unidimensional concept); however, it can also concern the psychological and social domains of human functioning (multidimensional concept). The FRAIL scale is a diagnostic tool which ascertains only physical frailty, whereas the Tilburg Frailty Indicator (TFI) is a diagnostic instrument for multidimensional frailty. The study investigates if non-robust physical status and multidimensional frailty affect the same individuals and whether simultaneous employment of the FRAIL scale and TFI identifies specific subgroups of elderly people which require different interventions.Patients and Methods: In this cross-sectional study, 1024 community dwelling elderly individuals at the age of 65 years or older (mean age 72.6 ± 6.3 years; range 65– 93 years) were evaluated with the FRAIL scale and TFI.Results: According to the FRAIL scale, 52.9% of the subjects were physically non-robust, but according to TFI, 54.6% presented multidimensional frailty. These two diagnostic tools were concordant in their outcomes in 77.1% (ie, 42.3% of individuals were physically and multidimensionally frail but 34.8% were robust according to both two instruments); however, in 22.9% the outcomes were discordant. Consequently, by simultaneous employment of the FRAIL scale and TFI, four distinct functional categories have been distinguished: (i) non-robust physical status with multidimensional frailty, (ii) exclusive non-robust physical status, (iii) exclusive multidimensional frailty, and (iv) full robust status.Conclusion: By applying simple physical and multidimensional frailty diagnostic tools, subgroups of elderly people may be identified that require specific management strategies to improve their functional status.Keywords: physical frailty, multidimensional frailty, psychological frailty, social frailty, aging, functional statusSacha MSacha JWieczorowska-Tobis KDove Medical Pressarticlephysical frailtymultidimensional frailtypsychological frailtysocial frailtyagingfunctional statusGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 15, Pp 683-690 (2020) |
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physical frailty multidimensional frailty psychological frailty social frailty aging functional status Geriatrics RC952-954.6 |
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physical frailty multidimensional frailty psychological frailty social frailty aging functional status Geriatrics RC952-954.6 Sacha M Sacha J Wieczorowska-Tobis K Simultaneous Employment of the FRAIL Scale and the Tilburg Frailty Indicator May Identify Elderly People Who Require Different Interventional Strategies |
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Magdalena Sacha,1 Jerzy Sacha,2,3 Katarzyna Wieczorowska-Tobis1 1Department of Palliative Medicine, Poznan University of Medical Sciences, Poznan, Poland; 2Faculty of Physical Education and Physiotherapy, Opole University of Technology, Opole, Poland; 3Department of Cardiology, University Hospital in Opole, Opole, PolandCorrespondence: Jerzy Sacha Email sacha@op.plPurpose: Frailty is a geriatric syndrome that is usually considered as a set of physical deficits (unidimensional concept); however, it can also concern the psychological and social domains of human functioning (multidimensional concept). The FRAIL scale is a diagnostic tool which ascertains only physical frailty, whereas the Tilburg Frailty Indicator (TFI) is a diagnostic instrument for multidimensional frailty. The study investigates if non-robust physical status and multidimensional frailty affect the same individuals and whether simultaneous employment of the FRAIL scale and TFI identifies specific subgroups of elderly people which require different interventions.Patients and Methods: In this cross-sectional study, 1024 community dwelling elderly individuals at the age of 65 years or older (mean age 72.6 ± 6.3 years; range 65– 93 years) were evaluated with the FRAIL scale and TFI.Results: According to the FRAIL scale, 52.9% of the subjects were physically non-robust, but according to TFI, 54.6% presented multidimensional frailty. These two diagnostic tools were concordant in their outcomes in 77.1% (ie, 42.3% of individuals were physically and multidimensionally frail but 34.8% were robust according to both two instruments); however, in 22.9% the outcomes were discordant. Consequently, by simultaneous employment of the FRAIL scale and TFI, four distinct functional categories have been distinguished: (i) non-robust physical status with multidimensional frailty, (ii) exclusive non-robust physical status, (iii) exclusive multidimensional frailty, and (iv) full robust status.Conclusion: By applying simple physical and multidimensional frailty diagnostic tools, subgroups of elderly people may be identified that require specific management strategies to improve their functional status.Keywords: physical frailty, multidimensional frailty, psychological frailty, social frailty, aging, functional status |
format |
article |
author |
Sacha M Sacha J Wieczorowska-Tobis K |
author_facet |
Sacha M Sacha J Wieczorowska-Tobis K |
author_sort |
Sacha M |
title |
Simultaneous Employment of the FRAIL Scale and the Tilburg Frailty Indicator May Identify Elderly People Who Require Different Interventional Strategies |
title_short |
Simultaneous Employment of the FRAIL Scale and the Tilburg Frailty Indicator May Identify Elderly People Who Require Different Interventional Strategies |
title_full |
Simultaneous Employment of the FRAIL Scale and the Tilburg Frailty Indicator May Identify Elderly People Who Require Different Interventional Strategies |
title_fullStr |
Simultaneous Employment of the FRAIL Scale and the Tilburg Frailty Indicator May Identify Elderly People Who Require Different Interventional Strategies |
title_full_unstemmed |
Simultaneous Employment of the FRAIL Scale and the Tilburg Frailty Indicator May Identify Elderly People Who Require Different Interventional Strategies |
title_sort |
simultaneous employment of the frail scale and the tilburg frailty indicator may identify elderly people who require different interventional strategies |
publisher |
Dove Medical Press |
publishDate |
2020 |
url |
https://doaj.org/article/aaae27663d6547338665b76aa7fd46ac |
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